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16 The Link Magazine • April 2003
     D-day for community pharmacies                         Ambulances hot spot response mixes
    If you use an independent community based pharmacy and want to  technology with crystal ball gazing
    see them continue, there isn't much time left to tell the government
    your viewpoint.                                       A little publicised change has taken place over the last three years in
                                                          the way the Wiltshire Ambulance Service deploys its resources with
                                                          the result that the time taken to respond to an emergency has de-
                                                          creased. And the strange thing is, a computer often predicts when an
                                                          emergency could take place, and in which part of the town it will
                                                          occur.
                                                            The Link started to notice ambu-  analysis of what might happen
                                                          lances parked next to the Link Cen-  over the next few hours. "What the
                                                          tre some months ago and on en-  computer does is examine all the
                                                          quiry Swindon Ambulance Station  events that have taken place in the
                                                          Manager Steve Blackmore con-  past for all times of the day and
   Julia Drown with Swindon's independent pharmacists, from left, Sue Goddard,
                                                          firmed that the deployment proce-  suggests when an event could take
   locum pharmacist, Nick Jephson, trainee pharmacist; Ken Schofield, Park Lane
                                                          dures had been evolving.    place," said Steve. "The screen in
   Pharmacy; Kaushik Patel, Hawthorn Pharmacy, Gorse Hill; Chris McKendrick,
                                                            "We've always operated flexibly  our local control room starts glow-
   Commercial Road Pharmacy, Frank and Paula Train, Rodbourne, Ray Jephson
                                                          and have been subject to emer-  ing yellow when the computer con-
   Wiltshire Local Pharmaceutical Committee; Sushma Patel, Freshbrook Pharmacy
                                                          gency response'Orcori standards  siders there is a risk of an incident
     The consultation period for an  "We independents take pride in  since the 1970s," said Steve. "Over  and gradually changes to red when
   Office of Fair Trading (OFT) re-  the level and continuity of service  the last five years Government  and where there is a statistical like-
   port which recommends scraping  to our communities. Come rain or  standards have required us to have  lihood of a major call out occurring.
   of regulation on NHS dispensing  shine we are always there for our  a vehicle and
   pharmacies ends in early April.  customers."           paramedic at
     If the government accepts that  South Swindon MP Julia Drown,  a category A
   anybody can set up a pharmacy,  said, "I have received many letters  life threaten-
   the large supermarkets will swoop  from constituents calling for re-  ing incident
   in. The likelihood is that independ-  tention of controls. I do not think  within eight
   ents in local shopping areas will be  supermarkets should be able to set  minutes in
   crushed by the competition.  up NHS dispensing wherever they  seventy five
     Sushma Patel, who has run  like and I am hopeful that the Gov-  per ce' "f
   Freshbrook Pharmacy for over six-  ernment will reject the OFTs rec-  cases.
   teen years, said local pharmacies  ommendations. The Government  " T h e
   are a mainstay of a community.  is keen to protect local services."  changing
   "Ninety per cent of my patients,  To add your views, write to Julia way we work
   both young and the elderly, know  Drown or North Swindon MP  is not some-
   and trust me to seek advice on a  Michael Wills at the House of Com- thing we've  Jamie Smith from Westlea, on solo duty at Shaw Ridge
   range of issues.            mons, London SWI.          advertised,    Leisure Park, with a Volvo to be replaced by a Honda
                                                          but as Swin-
                                                          don has grown we've had to refine  "This gives us time to place an
                                                          what we call dynamic deployment  ambulance crew in the predicted
                                                          procedures so that we can meet  area and wait to see what happens.
                                                          the target. The opening of the Great  It seems like science gazing into a
                                                          Western Hospital on one edge of  crystal ball, but the system is amaz-
                                                          the town is also another factor.  ingly accurate - quite spooky at
                                                          This means that we have vehicles  times. With a minimum of thirty
                                                          manned by a solo paramedic or  emergency calls a day, it is a great
                                                          technician at key points around  help to be forewarned where and
                                                          the town more often, so that they  when an incident may take place."
                                                          can be at the scene within the time  Unfortunately, a number of the
                                                          limit."                    calls are not emergencies at all,
                                                            In January this year ambulances  because people cannot get a doc-
                                                          were on the scene within eight  tor to respond to a house call, or
                                                          minutes on 83% of calls and with  social services are not available to
                                                          the introduction of new equipment  help and crews find themselves
                                                          and more crews, the service is aim-  providing counselling for people
                                                          ing for 95% within the next few  or dealing with the effects of a
                                                          years. Extra funding has been re-  drunken brawl when they could
                                                          ceived for 2003 so that more solo  be attending a real emergency.
                                                          vehicles can be deployed in the  Apart from the arrival of the
                                                          community.                 Honda CRVs and the fourfold in-
                                                            During March the first of a fleet  crease in the number of solo
                                                          of Honda CRV ambulances built  deployments in the next year, am-
                                                          at the Swindon factory were deliv-  bulance crews will be moving into
                                                          ered to give crews a better envi-  new standby rooms at the local
                                                          ronment to work in when caring  police stations next to the Link
                                                          for emergency patients, whilst the  Centre in West Swindon and at the
                                                          four wheel drive will improve ac-  North Swindon District Centre.
                                                          cess to off-road incidents.  And in April a new joint police,
                                                            However, positioning of ambu-  ambulance and fire service control
                                                          lances is not a random decision.  room in Devizes will become op-
                                                          Information on every type of inci-  erational, the first of its kind in the
                                                          dent dealt with by ambulance  country, providing the immediate
                                                          crews over the last few years is  interchange of information to im-
                                                          held on a central computer which  prove the response of the emer-
                                                          continually carries out predictive  gency services.
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